Individual
DR. HIRENKUMAR N SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
65 THOMAS JOHNSON DR, SUITE C, FREDERICK, MD 21702-4371
(301) 663-3836
(301) 663-0122
Mailing address
65 THOMAS JOHNSON DR, SUITE C, FREDERICK, MD 21702-4371
(301) 663-3836
(301) 663-0122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D51643
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K935397W
MEDICARE ID
MD
Enumeration date
06/27/2006
Last updated
11/15/2010
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